Average depth of tarsometatarsal joint for trephine arthrodesis

Author(s): Ryan JD, Timpano ED, Brosky TA 2nd


The trephine arthrodesis technique has been shown to be an effective method for various foot and ankle fusion procedures, with acceptable rates of fusion reported. The tarsometatarsal joints are an excellent example for this procedure because of the joint shape and soft tissue stability. The success of this procedure depends on many factors, but a large consideration is adequate joint resection. A cadaveric study to examine the joint depth of the Lisfranc complex was undertaken, allowing for improved understanding of the resection needed to maintain a stable plantar cortex while removing all apposing joint surfaces. A statistical analysis was then performed to determine the significance of the joint depth to available demographic data. A total of 51 limbs were evaluated for the depth of the first, second, and third metatarsal-cuneiform joints. The average joint depth for the first through third metatarsal-cuneiform joints was 32.3, 26.9, and 23.6 mm, respectively. The plantar cortex depth was less than 2 mm for the first through third metatarsal-cuneiform joints. The correlation between the length of the foot and the joint depth was statistically significant. Subgroups stratified by shoe size were analyzed for differences in joint size and were also statistically significant. A better understanding of the tarsometatarsal joint anatomy would benefit the trephine technique for Lisfranc arthrodesis.

Similar Articles

Salvage of Lisfranc's tarsometatarsal joint by arthrodesis

Author(s): Sangeorzan BJ, Veith RG, Hansen ST Jr

Tarsometatarsal/Lisfranc joint

Author(s): DiDomenico LA, Cross D

Anatomy of the Lisfranc joint complex

Author(s): de Palma L, Santucci A, Sabetta SP, Rapali S

The anatomy of the joint as a risk factor for Lisfranc dislocation and fracture-dislocation

Author(s): Peicha G, Labovitz J, Seibert FJ, Grechenig W, Weiglein A, et al.

Tarsometatarsal fracture-dislocation

Author(s): van der Werf GJ, Tonino AJ

Complications of missed or untreated Lisfranc injuries

Author(s): Philbin T, Rosenberg G, Sferra JJ

An association between functional second metatarsal length and midfoot arthrosis

Author(s): Davitt JS, Kadel N, Sangeorzan BJ, Hansen ST Jr, Holt SK, et al.

Human articular cartilage biomechanics of the second metatarsal intermediate cuneiform joint

Author(s): Liu GT, Lavery LA, Schenck RC Jr, Lanctot DR, Zhu CF, et al.

Injuries to the tarsometatarsal joint

Author(s): Hardcastle PH, Reschauer R, Kutscha-Lissberg E, Schoffmann W

Joint curettage arthrodesis technique in the foot: a histological analysis

Author(s): Johnson JT, Schuberth JM, Thornton SD, Christensen JC